The patient denies chest discomfort. He admits to nausea but has not vomited.

Breath sounds are clear bilaterally.

A 12-lead ECG is captured.

And another.

You are 15-minutes from the local non-PCI hospital and 45-minutes from a STEMI Receiving Center.

How would you treat this patient and why?

About the author

Tom Bouthillet is a Fire Captain/Paramedic with Hilton Head Island Fire & Rescue, Editor-in-Chief of the EMS12Lead.com, Chief Content Architect of ECGMedicalTraining.com, host of the Code STEMI web series at First Responders Network, a member of the Editoral Advisory Board of EMS World Magazine, and developer of the 12-Lead ECG Challenge smartphone app. He has taught nationally in the Critical Care Transport (CCEMT-P) program out of UMBC and his writings have been referenced in the American Heart Journal, the Journal of the American College of Cardiology: Cardiovascular Interventions and the EP Lab Digest. Contact Tom at tom.bouthillet@ems1.com.

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